Sex estimation by volumetric evaluation of the maxillary canine using cone-beam computed tomographic images.

BACKGROUND: Teeth can be a reasonable part of sex estimation in case of being the single evidence available or in doubt although they are not as accurate as bones in sex estimation. The size of teeth is greater in males than in females. In this study, it was aimed to determine cut-off values of the tooth volume (TV) and root volume (RV) of the maxillary canines and to evaluate the validity of the method for discriminating between males and females. METHODS: Cone beam computed tomography (CBCT) images of 250 individuals aged 18 to 63 years with equal age and sex distribution were assessed retrospectively. The sample divided into reference set including 168 images of 84 females and 84 males and validation set including 82 images of 48 females and 34 males. Receiver operating characteristic (ROC) curve analysis, and Youden's index were used to determine cut-off values of the volumetric measurements and to test the discriminative performance of the method. RESULTS: The optimal cut-off values of TV ≥ 581 mm3 and RV ≥ 334 mm3 for estimating sex were established from the reference set. The sensitivity (Se), specificity (Sp), and accuracy (Ac) were 0.77 for TV ≥ 581 mm3 while they were 0.82, 0.77, and 0.79 for RV ≥ 334 mm3. When we tested the previously derived cut-off values of TV of the maxillary canine, the Se, Sp, and Ac were found to be respectively 0.71, 0.90, and 0.82 for TV ≥ 619 mm3 and 0.97, 0.27, and 0.56 for TV ≥ 510 / 460 mm3 (right/left). CONCLUSIONS: The identified cut-off values of TV and RV of the maxillary canines can be used to estimate sex with moderate accuracy when the only evidence available is teeth or in case of doubt. The method's applicability should be assessed for different populations.

[Terminology and classification of condylar hyperplasia: Two case reports and review]. / Kondiler hiperplazinin terminolojisi ve siniflandirilmasi: Iki olgu sunumu ve derleme.

Condylar hyperplasia is characterized by the growth of mandibular condyle. Its etiology and pathogenesis remain controversial. It often occurs unilaterally and leads to facial asymmetry and malocclusion. In the literature, it was also classified according to anomalies accompanied by the growth of other components of the mandible. Differential diagnosis of condylar hyperplasia usually includes tumors of temporomandibular joint. In this article, we discuss the term "condylar hyperplasia" and its classification considering two patients with condylar growth.

Applicability of Demirjian's four methods and Willems method for age estimation in a sample of Turkish children.

The aim of this study was to evaluate applicability of five dental methods including Demirjian's original, revised, four teeth, and alternate four teeth methods and Willems method for age estimation in a sample of Turkish children. Panoramic radiographs of 799 children (412 females, 387 males) aged between 2.20 and 15.99years were examined by two observers. A repeated measures ANOVA was performed to compare dental methods among gender and age groups. All of the five methods overestimated the chronological age on the average. Among these, Willems method was found to be the most accurate method, which showed 0.07 and 0.15years overestimation for males and females, respectively. It was followed by Demirjian's four teeth methods, revised and original methods. According to the results, Willems method can be recommended for dental age estimation of Turkish children in forensic applications.